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If someone calls you a “lil piss boy” it means not only are you a lil bitch, but also are a person who gets zero play and is most likely extremely self absorbed.
Kenny: “Drakey, you a lil piss boy”
Drakey: “nuh uh”
A phrase most commonly reserved for a group of people commonly know as "original gangsters"
it describes a complete fucking soyboy with has no inner strength or backbone
"Bill snitched on me for roofing a ball, what a lil bitch boy ima go whoop his ass"